Pandemic Influenza Community Preparedness Toolkit

Order Form

Please indicate quantity for each item wanted and complete the required information at the
bottom of the order form.
Quantity limits do not apply to local public health agencies.
Items listed in alphabetical order.

Quantity Requested

Stock
No.

Title

Quantity Limit

1031

Cover Your Cough/Clean Your Hands (flyer/poster)

100

466

Dirty Hands Spread Disease WASH THEM! (sticker)

25

814

Speakers' Bureau on Emergency Response (brochure)

100

1034

Stay home if you are sick! (8½x11 poster)

50

1030

Stay home if you are sick! (11x14 poster)

15

173

Stop Help Protect Our Patients! (flyer/poster)

50

332

Wash your Hands (flyer/poster - English)

50

238

Wash your Hands (flyer/poster - Spanish)

25

297

Wash your Hands (flyer/poster - English - laminated for use in restrooms)

50

1005

WHACK the Flu Activity Booklet

250

765

WHACK the Flu Classroom poster (11x17)

50

982

WHACK the Flu Teacher Evaluation Form

10

984

WHACK the Flu School Recruitment Flyer (Flu Facts)

25

772

WHACK the Flu Skit

30

978

WHACK the Flu Bookmark

100

977

WHACK the Flu Poster/Flyer (8½x11)

150

** n/a - not available**

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Requestor's Org Name: Phone Number:

*Shipping Address:
(P.O. Box holders must include street address)

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If you have any questions about pandemic influenza or resources listed above, please contact the Division of Community and Public Health at 866-628-9891.